Joseph A Vukovich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12007205A Issued in IN

Practice address

8562 Broadway
Merrillville, IN 46410-7052

Phone

(219) 769-6464

Fax

(219) 769-6464

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467569145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8562 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107052",
            "telephone_number": "219-769-6464",
            "fax_number": "219-769-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107052",
            "telephone_number": "219-769-6464",
            "fax_number": "219-769-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKOVICH",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007205A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001417700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viroj Juisai, M.D., P.C.
• Kim Uyen Vo, O.D.
• Diane Jeanette Voelker, M.S., CCC-A, FAAA
• Bridget Kayla Volckmann, PA
• Julia Blair Voyles, ATC,MS,LAT,CES
• Daksha C Vyas, M.D.
• Sahana Vyas, M.D.
• Laura Ellen Wade, MA, BCBA
• Tamia Monae Wade
• Amy Wagner

• Dentist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.